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Demolition Agreement_10.12.2018
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Demolition Agreement_10.12.2018
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Entry Properties
Last modified
10/15/2018 8:12:50 AM
Creation date
10/15/2018 8:12:05 AM
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Template:
Recorded Docs
Recorded Docs - Type
Agreement
Subject
Kaiser Permanente Hospitals
Rec Date
10/12/2018
Parties
Kaiser Permanente Hospitals
MO Ref
18-182
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CALIFORNIA . . ex <br />A notary public or other officer completing this certificate verifies only the identity of the individual who signed the <br />document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. <br />State of California <br />County of nf) "Ae-p <br />On 0/187 / (TI J before me, Ul\ i- mCkmeifi✓, ht rwl� "I(C -- , <br />Date �11 ✓I J Here Insert Name and Title of the Vfficer <br />personally appeared V�Qf �L _ 5f-eb1n (k- <br />Name(s) of Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the personK -whose name(sf is/are- <br />subscribed to the within instrument and acknowledged to me that he /shektrey executed the same in <br />his /herftheir authorized capacity(ies), and that by his /Herftheir signature(s) on the instrument the person(sj; <br />or the entity upon behalf of which the person(Wacted, executed the instrument. <br />LILY c. BNO� ER <br />Commission N 2133807 = <br />Notary Public - CsI#0nua <br />Ban Mateo County <br />M Comm. Ex ire$ Dec 9. 2019 <br />Place Notary Seal Above <br />I certify under PENALTY OF PERJURY under the laws <br />of the State of California that the foregoing paragraph <br />is true and correct. <br />WITNESS my hand and official seal. <br />Signature ` (�UJUEtIS <br />nature of Notary Public <br />OPTIONAL <br />Though this section is optional, completing this information can deter alteration of the document or <br />fraudulent reattachment of this form to an unintended document. <br />Description of Attached Document <br />Title or Type of Document�T(dr�j <br />Document Date: /tsl) <br />Signer(s) Other Than Named Above: <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />Number of Pages: <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />7 Other: <br />Signer Is Representing: <br />L.✓5' ✓i✓ ✓titi. ✓'.\.G<✓fw ✓GL.G'✓ ✓GLa ✓ ✓5'vti/ ayi'✓ vA.:��GGL..iAgSL..-✓5 <br />e� <br />Z <br />
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